1

LAKSHANA

Premature ejaculation (PME) is defined as ejaculation with the minimal sexual stimulation before, on or shortly after penetration and or before a person wishes it. It is a function of the time between intra-Vaginal penetration and intra-vaginal ejaculation.
Premature ejaculation is a common complaint. It is only rarely caused by a physical problem.
Premature ejaculation early in a relationship is most often caused by anxiety and too much stimulation. Guilt and other psychological factors may also be involved. The condition usually improves without treatment.  

2

PRICIPAL OF CHIKITSA 

Shukrastambhaka, Vatahara, Medhyarasayana, Vatanulomanachikitsa. Sattvavajaya Chikitsa-Counselling. Pelvic floor strengthening exercises (Kegel exercises).
Non-drug Therapy
The “stop and start” method:
- This technique involves sexually stimulating the man until he feels like he is about to reach orgasm. Stop the stimulation for about 30 seconds and then Start it again. Repeat this pattern until the man wants to ejaculate. The last time, continue stimulation until the man reaches orgasm.
The "squeeze" method:
- This technique involves sexually stimulating the man until he recognizes that he is about to ejaculate. At that point, the man or his partner gently squeezes the end of the penis (where the glans meets the shaft) for several seconds. Stop sexual Stimulation for about 30 seconds, and then start it again. The person or couple may repeat this pattern until the man wants to ejaculate. The last time. continue stimulation until the man reaches orgasm.
Evaluation by a sex therapist. psychologist. at psychiatrist may help some couples.
Drug of Choice: Akarakarabha (akalkara).
Main Drugs: Jatiphala, Kuchala, Puga, Vanga.  

1. Chandraprabha vati/or/

Shilapravanga/or/

Bangashil- (2tab Pragbhakta bhakta 2 times with Warm milk)

2. Akarkabhedi vati-2tab+

Jatiphaladi vati-2tab +

Ashvagandha curna-2gm+

Suddha kuchala- 30mg (Apana kala 2 times with Ghrita & honey)

3. Makaradwaja-125mg (Apana kala 2 times with Ghrita & honey)

4. Srigopala Taila (Local massage 2 times)

DIET AND LIFESTYLE

Pathya(DO):

Regular massage, stop and start exercise.

Apathya(DON’T):

Salt, antacids, smoking, alcohol. 

Vishatinduka Vati-1 TID

Puga Paka-3-6 gm BD

Makaradhwaja Vati-1 TID

Jatiphaladi Chuma-6gm BD

Akarakarabadi Yoga-3gm BD

Tab. Stamina (AAF)-1 TID

Cap. N j Forte Uain)-1 TID

Tab. Shilapravanga (SDL)--1 TID

Tab. Confido (Himalaya)--1 TID

Tab. Neo (Charaka)-1 TID

Bangashil (Alarsin)--1 TID